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Selected health data for adults and children of North Carolina's health service areas

stume Doc*
A SPECIAL REPORT SERIES BY THE N.C. DEPARTMENT OF HUMAN RESOURCES, DIVISION OF
HEALTH SERVICES, STATE CENTER FOR HEALTH STATISTICS, P.O. BOX 2091, RALEIGH, N.C. 27602
No. 22 Jane 1932
SELECTED HEALTH DATA FOR ADULTS AND CHILDREN OF
NORTH CAROLINA'S HEALTH SERVICE AREAS
For the state and the state's six health service areas (HSA's) , the State Center
for Health Statistics has previously reported the health- related results of three North
Carolina Citizen Surveys (NCCS's) conducted by the Office of State Budget and rtenagement
(1-3). Continuing that practice, and in accordance with an agreement with the State
Health Planning and Development Agency to report such data for HSA's, this report
presents findings from the Fall 1931 NCCS.
That survey included fewer health questions than have previous ones, and the
questions asked were generally different from those of the past. In particular, the
survey instrument excluded questions on health conditions but included new questions
concerning the health care resources of children and the water supply and sewage
characteristics of household living quarters.
Households were surveyed by telephone or in person with a small percentage reached
by mail. Other details concerning survey design and methodology of the NCCS have been
reported (1-4)
.
Examination of the 1931 sample indicates it generally reflects the composition of
the state's adult population although, as in the past, persons aged 30-64 appear
over represented to some extent. On the other hand, whites accounted for 72 percent of
the sample compared to 78 percent of the 1930 Census count of persons 18 and older.
Altogether, 1,377 household interviews were completed in the Fall of '81, these
drawn from a sampling frame that represented 94 percent of North Carolina households in
1930. Sample sizes for HSA's are given in Table 1 (adults) , Table 2 (households with
children 0-17) and Table 5 (all households) . Users should also note that, in all cases,
percentages in this report are based on denominators that exclude unknowns, don't knows,
etc. Such treatment assumes that those respondents were distributed like the knowns,
which may not be realistic in all cases. However, missing data was not a large problem
in this survey.
Health Care Resources
Adult respondents were asked about health care availability and health insurance
coverage for themselves, and separately, for any children (ages 0-17) in the household
(Tables 1 and 2). Statewide, 86% of adults had a usual source of health care and 96% of
households with children had one or more usual providers of care for children, most
often a doctor in private practice. Among providers reported, a public health
department was named for 4% of adults* and, relative to children's providers, 7% ot
households with children. Users of health departments were most often nonwhite, of low
to medium income/education and from larger households. Young adults (18-29) were more
apt to use health departments than were older adults. Eastern adults and 'Western,
Cardinal and Eastern children used health departments far more than others.
*While this appears to be an increase over previous estimates, the corresponding
questions in prior surveys were worded differently and estimation procedures have
changed somewhat. Thus, comparisons over time are tenuous at best.

stume Doc*
A SPECIAL REPORT SERIES BY THE N.C. DEPARTMENT OF HUMAN RESOURCES, DIVISION OF
HEALTH SERVICES, STATE CENTER FOR HEALTH STATISTICS, P.O. BOX 2091, RALEIGH, N.C. 27602
No. 22 Jane 1932
SELECTED HEALTH DATA FOR ADULTS AND CHILDREN OF
NORTH CAROLINA'S HEALTH SERVICE AREAS
For the state and the state's six health service areas (HSA's) , the State Center
for Health Statistics has previously reported the health- related results of three North
Carolina Citizen Surveys (NCCS's) conducted by the Office of State Budget and rtenagement
(1-3). Continuing that practice, and in accordance with an agreement with the State
Health Planning and Development Agency to report such data for HSA's, this report
presents findings from the Fall 1931 NCCS.
That survey included fewer health questions than have previous ones, and the
questions asked were generally different from those of the past. In particular, the
survey instrument excluded questions on health conditions but included new questions
concerning the health care resources of children and the water supply and sewage
characteristics of household living quarters.
Households were surveyed by telephone or in person with a small percentage reached
by mail. Other details concerning survey design and methodology of the NCCS have been
reported (1-4)
.
Examination of the 1931 sample indicates it generally reflects the composition of
the state's adult population although, as in the past, persons aged 30-64 appear
over represented to some extent. On the other hand, whites accounted for 72 percent of
the sample compared to 78 percent of the 1930 Census count of persons 18 and older.
Altogether, 1,377 household interviews were completed in the Fall of '81, these
drawn from a sampling frame that represented 94 percent of North Carolina households in
1930. Sample sizes for HSA's are given in Table 1 (adults) , Table 2 (households with
children 0-17) and Table 5 (all households) . Users should also note that, in all cases,
percentages in this report are based on denominators that exclude unknowns, don't knows,
etc. Such treatment assumes that those respondents were distributed like the knowns,
which may not be realistic in all cases. However, missing data was not a large problem
in this survey.
Health Care Resources
Adult respondents were asked about health care availability and health insurance
coverage for themselves, and separately, for any children (ages 0-17) in the household
(Tables 1 and 2). Statewide, 86% of adults had a usual source of health care and 96% of
households with children had one or more usual providers of care for children, most
often a doctor in private practice. Among providers reported, a public health
department was named for 4% of adults* and, relative to children's providers, 7% ot
households with children. Users of health departments were most often nonwhite, of low
to medium income/education and from larger households. Young adults (18-29) were more
apt to use health departments than were older adults. Eastern adults and 'Western,
Cardinal and Eastern children used health departments far more than others.
*While this appears to be an increase over previous estimates, the corresponding
questions in prior surveys were worded differently and estimation procedures have
changed somewhat. Thus, comparisons over time are tenuous at best.